Practice Strategies for Elective Red Blood Cell Transfusion
Journal: Annals of Internal Medicine (1992)

Clinical Guideline1 March 1992Practice Strategies for Elective Red Blood Cell TransfusionAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-116-5-403 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail AbstractAbstractThe following clinical guideline is based on the background paper "Prudent Strategies for Elective Red Blood Cell Transfusion," published in this issue of Annals. The goal of presenting the guideline in this format is to enhance clarity and promote use in daily clinical practice. The information provided in the various exhibits and algorithms can be found in the background paper (the numbers in brackets correspond to specific paragraphs of the background paper). The clinical guideline is structured in the following way: First, general therapeutic principles are introduced in a concise manner. Then, more specific guidelines are given in various exhibits, and a general management strategy is outlined in algorithm form. The background paper is the analytic component of the guideline, and as such it contains information that is not presented in the clinical guideline. These two documents should thus be viewed as complementing each other. Readers are invited to comment on this new format for the Clinical Efficacy Assessment Project (CEAP) clinical guidelines. Comments should be sent to the authors or to the Department of Scientific Policy, American College of Physicians. This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *This clinical guideline was authored by Anne-Marie Audet, MD, and Lawrence T. Goodnough, MD, and is based on an analysis done by H. Gilbert Welch, MD, MPH, Kenneth R. Meehan, MD, and Lawrence T. Goodnough, MD. The guideline was developed for the Health and Public Policy Committee by the Clinical Efficacy Assessment Subcommittee: Harold C. Sox, Jr., MD, Chair; Philip M. Gold, MD; Edward J. Huth, MD; Ernest L. Mazzaferri, MD; Albert G. Mulley, Jr., MD; and George E. Thibault, MD. Members of the Health and Public Policy Committee were: Clifton R. Cleaveland, MD, Chair; Christine K. Cassel, MD; David J. Gullen, MD; Harold C. Sox, MD; Quentin D. Young, MD; Robert A. Berenson, MD; John M. Eisenberg, MD; Woodrow A. Myers, Jr., MD; Cecil O. Samuelson, Jr., MD; Steven A. Schroeder, MD; Gerald E. Thomson, MD; and Sankey V. Williams, MD. The guideline was approved by the Board of Regents on 15 November 1991. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHematologic Complications and Blood Bank SupportIntraoperative Red Blood Cell Transfusion Decision-makingClinical decision support and improved blood use in patient blood managementSystematic reviews of guidelines and studies for single versus multiple unit transfusion strategiesBlood Transfusion Practices in ObstetricsFactors associated with admission to the intensive care unit in patients undergoing nephrectomyBlood use in patients receiving intensive chemotherapy for acute leukemia or hematopoietic stem cell transplantation: the impact of a health system-wide patient blood management programRestrictive Transfusion Practice and How to Implement ItThe impact of a multidisciplinary blood conservation protocol on patient outcomes and cost after cardiac surgeryBlood Loss in Orthopedic Surgery: A Historical ReviewHematologic Complications and Blood Bank SupportHow I use clinical decision support to improve red blood cell utilizationEvolution of the nation's blood supply systemSignificant Variation in Blood Transfusion Practice Persists following Upper GI Cancer ResectionPrinciples of Transfusion Support Before and After Hematopoietic Cell TransplantationIs there a “magic” hemoglobin number? 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Transfusion During Coronary Artery Bypass Graft Surgery Increases the Risk of Postoperative Low-Output Heart FailureReferencesSeverity, risk factors, and physician practices in the management of anemia during concurrent chemoradiation for head and neck carcinomaNosocomial pneumonia in elderly patients following cardiac surgeryAdequacy of Physician Documentation of Red Blood Cell Transfusion and Correlation With Assessment of Transfusion AppropriatenessA Comparison of the Clinical Impact of Bleeding Measured by Two Different Classifications Among Patients With Acute Coronary SyndromesInvasive cardiovascular monitoringBiochemistry, Physiology, and Complications of Blood Doping: Facts and SpeculationEfficacy of Measuring Oxygen Extraction Ratio for Determination of Intraoperative Red Blood Cell Transfusion in a Case with Chronic Normovolemic AnemiaTwo-layer closure of typhoid ileal perforations: A prospective study of 46 casesPerioperative AnemiaAdjunctive Abciximab Improves Patency and 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supplementation on the level of haemoglobin after lower limb arthroplastyBlood and Blood Component TherapyBlood Usage in an Australian Intensive Care Unit: Have We Met Best Practice Goals?Allogenic Blood Transfusion Does Not Predispose to Infection After Cardiac SurgeryBlood Conservation Strategies in Cardiovascular SurgeryMedical Staff Attitudes: Views and Positions Regarding Blood Transfusion to Terminally Ill Cancer PatientsIs a Restrictive Transfusion Strategy Safe for Resuscitated and Critically Ill Trauma Patients?Civilian Uses of Hemoglobin-based Oxygen CarriersUpdates in perioperative coagulation: physiology and management of thromboembolism and haemorrhageOverview of transfusion practices in perioperative and critical careGuidelines for Transfusion: A Way to Decrease TransfusionBlood transfusion and increased risk for vasospasm and poor outcome after subarachnoid hemorrhageUse of exogenous erythropoietin in critically ill patientsClinical consequences of anemia and red cell 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Cardiac SurgeryGuidelines for the clinical use of red cell transfusionsOur Dwindling National Blood SupplyComparative 30-day economic and clinical outcomes of platelet glycoprotein IIb/IIIa inhibitor use during elective percutaneous coronary intervention: Prairie ReoPro versus Integrilin Cost Evaluation (PRICE) TrialIs a low transfusion threshold safe in critically ill patients with cardiovascular diseases?Is blood transfusion good for the heart?Alternatives to Allogeneic Blood and Strategies to Avoid TransfusionOptimizing Red Blood Cell Transfusion PracticePacked Red Blood Cells and Related ProductsIV. 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a Guide to Transfusion?Anesthetic Evaluation and Management in Bloodless SurgeryAnémie aiguë et crise d'angorMonitoring the safety of transfusion practices in the U.S.Mechanisms and Efficacy of Fluorochemical Oxygen Transport and DeliveryTransfusion - the triggerBlood conservation and blood transfusion practices: Flip sides of the same coinEconomic impact of inappropriate blood transfusions in coronary artery bypass graft surgeryPerioperative Indications for Red Blood Cell Transfusion—Has the Pendulum Swung Too Far?Is a hemoglobin of 10 g/dL required for surgery?Preoperative autologous blood donation: Linkage of the public and private hospital sectorsCase 1—1993 The role of erythropoietin in Jehovah's Witnesses requiring cardiac surgeryManagement of the Severely Anemic Patient Who Refuses Transfusion: Lessons Learned during the Care of a Jehovah's WitnessMarianne Culkin Mann, MD, John Votto, DO, Joseph Kambe, MD, Michael J. McNamee, MDStrategies for Elective Red Blood Cell TransfusionJonathan M. Ross, MDPrevalence and Classification of Anemia in Elective Orthopedic Surgery Patients: Implications for Blood Conservation ProgramsWhen to Transfuse Septic PatientsThe Influence of Packed Red Blood Cell Transfusion on Tissue Oxygenation 1 March 1992Volume 116, Issue 5Page: 403-406KeywordsAlgorithmsPrevention, policy, and public healthPublic policyRed blood cellsTreatment guidelines ePublished: 1 December 2008 Issue Published: 1 March 1992 Copyright & Permissions© 1992 American College of PhysiciansPDF downloadLoading ...